Pediatric Urology - Specialty Clinics

Disorders of Sexual Differentiation (DSD) Clinic

Disorders of sexual differentiation arise from abnormalities in chromosomes, gonadal development, or hormonal production and activity. Infants and children with disorders of sexual differentiation, as well as their families, need a comprehensive program that provides collaborative medical, social and psychological care. Our DSD clinic is a unique multidisciplinary clinic that provides care to families of children with ambiguous genitalia. Our experts include urologists, endocrinologists, reproductive endocrinologists, geneticists, child psychologists, a mental health nurse practitioner, nurses and social work professionals. The team meets with families to discuss diagnosis, management, goals and questions, and concerns surrounding genital surgery. The entire DSD team meets on the third Tuesday of every month to collaborate with individual families to provide a management plan for each child’s medical and psychological needs. Angelique Champeau, CPNP is the clinic coordinator. Please contact Shirkeri Badger 415/353-2798 to schedule an appointment.

Center for Family Focused Management of Vesicoureteral Reflux

Vesicoureteral Reflux is the backwash of urine from the bladder to the kidneys. Reflux in the presence of bacteria can lead to kidney infections (pyelonephritis), which can lead to kidney scarring. The goal of managing vesicoureteral reflux is to prevent kidney damage. Vesicoureteral reflux can spontaneously resolve (on its own) and at other times requires surgical correction. Management of vesicoureteral reflux may include daily prophylactic antibiotics to prevent kidney infections, behavioral modification, open surgery (ureteral reimplant) and less invasive endoscopic treatment. At UCSF we use a family centered approach to collaboratively create a management plan for your child. We confront or adapt to families fears of prolonged antibiotics, procedures (VCUG, DMSA kidney scan) and surgery. Our goal is to keep a child’s kidneys healthy using a management plan that is respectful of the family’s goals and concerns.

A voiding cystourethrogram (VCUG) is necessary to diagnose vesicoureteral reflux. The test includes uretheral catheterization. Many parents have concerns about the stress of this test on their infant or child. Our three experienced nurse practitioners perform the VCUG and can review the results immediately following the exam. The nurse practitioner will work with each parent and child to make the exam quick and easy. Parents are encouraged to bring their child's favorite DVD to the exam for the child to watch during the test.

Please see our patient handouts for further details on Reflux, Ureteral Reimplant, Endoscopic Treatment and VCUGs.

Continence Clinic

The UCSF Children’s Continence Clinic is managed by our three nurse practitioners. Its focus is to help children with various continence issues including daytime and nighttime wetting, recurrent urinary tract infections with or without backwash of urine to the kidneys (vesicoureteral reflux), urinating too often or not urinating enough, and constipation and stool problems. We work with families and children to develop healthy voiding and stooling patterns, to assist in achieving greater continence and to prevent urinary tract infections. Treatment options include education, behavioral modification, timed voiding, voiding diaries, conditioning alarms and less often medications, ultrasound, biofeedback and bladder testing (urodynamics). All families are required to attend our Pediatric Urology Parent (PUP) Seminar prior to making an appointment in clinic. We have found that the seminar is the most efficient way to educate families about their child’s condition. The course helps facilitate a successful and timely treatment plan.

Valley Care Outreach Clinic (Coming Soon)

At our soon to be open outreach clinic in Pleasanton, California we will offer the convenience of more local care to families of the East Bay and Central Valley. Children will be treated for a variety of urological conditions; children who require more complex imaging or surgery will receive these specialized services in San Francisco.

Salinas Outreach Clinic

Every other month members of the UCSF Pediatric Urology team visit Salinas, California to manage a satellite clinic at the Natividad Medical Center. Here we predominantly serve a migrant population. At our Salinas Outreach Clinic we provide the convenience of local coordinated care to infants and children with a wide range of urological diagnoses. Patients who require more complex diagnostic imaging or surgical intervention are later seen at UCSF. However, most patients have their care managed exclusively at our Salinas Outreach Clinic.

Spina Bifida Clinic

UCSF's Spina Bifida Program is one of only a few programs in Northern California to offer comprehensive medical and social support for the treatment of infants, children and adolescents with spina bifida and other spinal birth defects involving exposed vertebrae. UCSF's multidisciplinary clinic provides care from medical professionals including those in neurosurgery, urology, orthopedics, pediatric physical medicine and rehabilitation, pediatric development and behavior, nutrition, nursing and social work.

From a urological standpoint our goal is to keep a child’s kidneys healthy and protected from damage. We also work with families to help children be continent (both urine and stool); this maintains and promotes self-esteem.

Appointments: Please call the Spina Bifida Clinic at 415/476-3899. If you would like an appointment with only a member of our urology team please call Shirkeri Badger at 415/353-2798.

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Contents of This Page

Faculty

Laurence Baskin, MD
Hillary Copp, MD, MS
Michael DiSandro, MD

Key Staff

Anne Arnhym, CPN
Certified Pediatric Nurse Practitioner
Pager: 415/443-0541
anne.arnhym@ucsfmedctr.org

Angelique Champeau, CPNP
Certified Pediatric Nurse Practitioner
Pager: 415/443-5632
Angelique.Champeau@ucsfmedctr.org

Appointments & Location

UCSF Medical Center, Parnassus Campus
400 Parnassus Avenue, Suite A-610
San Francisco, CA 94143-0330

Contact Numbers

For questions from pediatricians
Pager: 415/443-8209 (staff is on-call Monday-Friday, 9:00-5:00 PM)

For referral or program information, please contact
Phone: 415/353-2200
Fax: 415/353-2480
e-mail: lbaskin@urology.ucsf.edu

During business hours, referring providers may page or email the nurse practitioners to discuss referrals or for more urgent matters. After hours, please call 415/353-2200 and have the service page the pediatric urology provider on call.

Fellowship

Interested in completing a fellowship in Pediatric Urology? Please visit our fellowship section of the website

Patient Handouts & Services

Visit our Patient Information section to download Patient Handouts and learn about our free Pediatric Urology Parent (PUP) seminar.

Pediatric Urology Newsletter

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